rmt Back: Manual therapy and exercise for the lumbar and thoracic spine

RMT BACK is a lab course focusing on the clinical application of Restorative Mechanotherapy (RMT) in the Lumbar and ThoracicSpine. Participants will learn a variety of manual therapy techniques and therapeutic exercises to improve tissue quality and restore function. In addition participants will learn how to use components of the subjective and objective evaluation to direct treatment.

what you should expect to learn

  1. How to identify what kind and what intensity of manual therapy would be most appropriate for each individual patient.
  2. A wide range of manual therapy techniques for the thoracic and lumbar spine
  3. Selected soft tissue mobilization techniques and when to use them.
  4. Stretching and strengthening exercises designed to improve musculoskeletal tissue quality and activity tolerance

Course outline Day Two

8:00   Treating RMT Contraindicated Pathologies

8:30    Advanced Physiological Joint Mobilization

9:30     Combining Joint Mobilization


10:30 Exercise Parameters

11:00Single plane mobility exercises

11:45   Multi-plane mobility exercises

12:30  Lunch (on your own)

1:30    Strengthening Exercises

2:30   Intro to High Velocity Low Amplitude Tech.

3:30   Break

3:45   Manual Therapy Technique Consolidation

4:45   Scientific Rationale & Efficacy Summary

5:30   End Day Two



8:00    Axioms of Musculoskeletal Rehab

8:30    Principles of RMT Summary

9:00    Indications and Contraindications

9:30    Tissue Mobility and Sensitivity Testing

10:15   Break

10:30   Physiological Intersegmental Mobility Tests

11:15     Accessory Intersegmental Mobility testing

12:00   Myofascial Tissue Evaluation

12:30   Lunch (on your own)

1:30     Manual Therapy Parameters

2:00    Lumbar Physiological Joint Mobilization

3:00    Thoracic Physiological Joint Mobilization

3:30    Break

3:45    Lumbar & Thoracic Accessory Joint Mob

4:30    Soft Tissue Mobilization

5:30    End Day One


Upon completion of this course, participants will learn:

I. How to use subjective and objective data to direct manual therapy and exercise selection

II. How to recognize pathologies that do not respond well to Restorative Mechanotherapy

III. A variety of Joint Mobilization techniques for the lumbar and thoracic region that assist in restoring tissue quality & enhancing function

IV. How to use soft tissue mobilization to improve tissue quality in symptomatic myofascial tissue

V. A system of mobility and strengthening exercises designed to restore tissue quality and enhance function


Instructor: Roland LUcas PT MPhty FAAOMPT

Roland Lucas graduated with a Degree in Physiotherapy from the University of Sydney in 1992. Soon after graduation he immigrated to California and undertook post professional residency training in Orthopedic Manual Therapy (Hayward, CA-1996) and Proprioceptive Neuromuscular Facilitation (Vallejo, CA-1999). In 2000, he completed a Master of Manipulative and Sports Therapy at the University of South Australia. Currently, he is studying Biostatistics through the University of Sydney.

Roland divides his time between clinical practice in Sunnyvale, CA and teaching continuing education. He founded a Yearlong Manual Therapy Course in 2001, which is offered August through May every year in Redwood City. Since 1999, Roland has written and instructed weekend continuing education courses on orthopedic, sports and manual therapy. Additionally, Roland has presented at State and National Conferences for Physical Therapists, Chiropractors and Medical Doctors. In 2014, he presented on Restorative Mechanotherapy at the Annual Conference of the California Chapter of the APTA.

While completing his Master’s Roland developed a special interest in tendon rehabilitation, and since that time he has explored the role of connective tissue loading through manual therapy and exercise. Through combination of his clinical experience with modern histopathology and scientific evidence Roland developed the rehabilitative approach he has coined Restorative Mechanotherapy.  In his free time Roland enjoys running, windsurfing and spending time with his family.